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CASE REPORT
Year : 2022  |  Volume : 9  |  Issue : 4  |  Page : 585-587

Extensive atherosclerosis associated with mobile thrombus in the left carotid bulb in an elderly


Department of Cardiology, National Heart Institute, New Delhi, India

Correspondence Address:
Dr. Shridhar Dwivedi
Department of Cardiology, National Heart Institute, East of Kailash, New Delhi 110065, Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mgmj.mgmj_189_22

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A case of extensive atherosclerosis in an 88-year-old, chronic heavy smoker, associated with mobile thrombus in the left carotid bulb is presented. This patient also suffered from chronic obstructive pulmonary disease (COPD) and hypertension. He was fully worked up and confirmed as a case of the mobile thrombus attached to the plaque in the left carotid bulb by echocardiography and carotid Doppler. Thrombolysis of a large, mobile clot poses a theoretical risk of stroke worsening from incomplete fibrinolysis. He was prescribed anticoagulants and has been doing fine till the last follow-up. The importance of preventing premature atherosclerosis in the next generations is also discussed. We report this case to create awareness about this preventable malady and treatment options.


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